As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.Submit Your Question
Question:If I suspect my 5 year old tom has a urinary tract infection due to the symptoms he's exhibiting, do I have to take him to a vet for treatment or is there something I can do at home to cure him?
Answer:With male cats, it's usually not an infection - it's usually crystals that are building up that make it uncomfortable to urinate. I would take him to your veterinarian as soon as you can for a definitive diagnosis because the crystals can block him up entirely where he cannot urinate and this becomes a life-threatening emergency.
Question:Is there a food I could use instead of hills science diet multi care c/d urinary tract health. It is spendy and I'm struggling with it right now.
Answer:There are many over-the-counter foods that claim to help urinary issues one way or another but once your cat is diagnosed with crystals, only the prescription diets seem to keep them from having recurrent problems. There are 3 prescription diets that I trust: Hill's Science Diet C/D, Royal Canin Urinary SO, and Purina's UR St/Ox Urinary Formula. They are all almost equally as expensive but I was curious so I just went and price shopped for you and the "cheapest" one per pound was the Royal Canin. Purina's was less than Hill's but more than Royal Canin. Hope that helps.
Question:My dog is a 2 year old mutt and for about 1.5 years she has been on Proin because of urinary incontinence. She was spayed at about 11 weeks old. I've noticed over the months that the Proin works, but I have had to up the dosages as it stops working after awhile. Is there another drug available to switch to that works? My vet told me there's one or two others that I can alternate between to give her to help. Thanks,
Answer:Proin, active ingredient phenylpropanolamine, usually works the best with the least amount of side effects. There's also estrogen, but it can have side effects, but it will often work when/if Proin stops working but she will more than likely have to be on something the rest of her life and I wouldn't really want to start her on estrogen this young - you end up having to run a lot of blood work to be sure the estrogen isn't causing side effects.
Question:Are there any affordable over the counter medication for uti in dogs?
Answer:Usually by the time a dog shows signs of a urinary tract infection, the infection is so bad that they need prescription antibiotics. Add to that that it is really hard to get them to drink more water and overhydrate themselves - flushing the infection out, but try to do that. You can also try products with cranberry extract like our product: NaturVet Cranberry Relief Plus Echinacea. Here is a link if you want to read about it: http://www.1800petmeds.com/NaturVet+Cranberry+Relief+Plus+Echinacea-prod11018.html
Question:My teacup has been getting a big stomach and has been leaking urine. What would be the problem with her?
Answer:Those are 2 symptoms that could either be related or not (she could have 2 different problems). There are also many causes of both : everything from heart failure to intestinal parasites for the big stomach and kidney failure to incontinence for the leaking urine, so definitely have your veterinarian check her out and run some tests on her as soon as you can.
Question:My 9 year old cat has recently started urinating outside of her litter box. It's become more frequent and now it's almost like it's random and urgent for her. When she squats now it very minimal urine with some blood tinge. I'll add, her bowel movements are still in the liter box.
Answer:It sounds like she has a urinary tract infection. Your veterinarian can confirm this with a quick test. They will also want to rule out other problems like crystals, stones, masses, etc. If it is just a bladder infection, that is easy to treat with antibiotics. Most of us have a long acting injection that works nicely on routine UTIs. Once you get to the bottom of the cause of the blood in her urine and treat it, she will more than likely start using her litter box again.
Question:My small chi started wetting the bed and needing to go to the bathroom, some tinge of blood also. Took her to the Vet and there is some bacteria and crystals, Put her on Clavomox for the past 4 days and see some slight improvement, Vet wants to do a culture and X-Ray, Should I do a full course of antibiotics first? This gets very expensive and I am on a fixed income. I just adopted her a year ago and want to know all of my options natural and Vet related. Hope you can help. My Vet wants to charge $500 for culture and X-Ray, seems very expensive. Thank You
Answer:It is ideal to do the x-rays to rule out a bladder stone. I actually wouldn't do a culture right now because she is on antibiotics and it would probably be falsely negative. Getting her to drink as much water as you can is ideal. Using a product with cranberry like our NaturVet Cranberry Relief Plus Echinacea in addition to her antibiotics may help. Here is a link in case you want to read about it: http://www.1800petmeds.com/NaturVet+Cranberry+Relief+Plus+Echinacea-prod11018.html
Question:I've been giving my female border collie age 7 years Proin 50mg, twice daily for about 3 months. Her appetite has seemed to decrease quite a bit. Should I be concerned?
Answer:That dosage may be a little high for her - if her symptoms are controlled, you can decrease the dosage (even 1/2 a tablet twice a day) and her appetite should return. Definitely consult your regular veterinarian that knows her better than I do before doing this - they will want to note it in her chart.
Question:I I have a 5 month old staffy female who has been suffering from a loss of hair/ thinning Patches all over her body from her head to her legs and side no tale. I also noticed a green discharge in her vulua . I'm washing her in a microbiolure / anti fungi shampoo. I have treated her in a "Natural"base treatment of coconut oil , also Apple cider vinegar in her diet . With no changes I stopped Apple cider vinegar, cleaned her regularly wth a baby wipe to keep her bacterial levels down for vaginitis. The newest thing I have done today is put her on a grain feee food .. will see if it helps . My question is , does she have a urinary track infection or yeast infection or is she experiencing food allergies? I'm not seeing and signs of crusty skin or lighting up bright on a black light. I also feed her plain Greek yogurt for a while with no evale . Hope you can help me thank you .
Answer:If she isn't very itchy, she probably has Demodectic mange - she is right at the age when we see it. Your veterinarian will have to do a skin scrape to diagnosis - then they will prescribe medication. She is pretty young to be showing hair loss from allergies. The baby wipes are good for puppy vaginitis, but if you are seeing "green", she may need something stronger. Getting her to drink more water is helpful, as is taking her out to urinate more frequently.
Question:Dr Dym, We adopted a cat from my husband's boss about 3 weeks ago. She's a 4 year old tabby and is slowly getting used to all of us because we have another 18 y/o cat in the household. Both females. I noticed about 3 days ago our new cat was going to the litter box multiple times within a very short time frame and then just sitting/squatting. When I look, only little drips show up or maybe a tiny spot. No blood and no complaining otherwise from her (though she's cranky in general since it's a new home with an existing cat). I feel like it may be a UTI and would like to try OTC remedy first. What would you recommend? Thank you in advance!
Answer:You can try over-the-counter remedies like "NaturVet Cranberry Relief" but you ideally need to have your veterinarian perform a urinanalysis on her to determine if it is truly a urinary tract infection or something else (cystals, etc). Encourage her to drink as much water as you can - this is easier said than done but you can find interesting water fountains that cats like at most pet stores. Here is one we carry: http://www.1800petmeds.com/Drinkwell+360+Pet+Fountain-prod65152.html And here is a link if you want to read about the cranberry extract product: http://www.1800petmeds.com/NaturVet+Cranberry+Relief+Plus+Echinacea-prod11018.html
Question:How long does it take for kidney infection to clear? My dog has been Ill now for over 3 weeks, 2 visits to vet, given injection and tablets each time and still no better, very lethargic, no appetite, has lost over 1 stone in these 3 weeks, these symptoms happened overnight.
Answer:Kidney infections (infection of the actual kidney = pyelonephritis) are actually rare, but can be hard to clear depending on the type of bacteria that has set up house in them and how resistant that bacteria might be to common antibiotics, your dog's immune system, etc. You are more likely talking about a bladder infection - these infections are equally hard to clear sometimes - for most of the same reasons and because there isn't a blood supply into the urine in the bladder. Trying to encourage your dog to urinate more frequently so the bacteria doesn't stay in the bladder and have a chance to replicate is a good idea. I mention this before I mention what most people know and have a hard time doing : try to encourage your dog to drink more. Sometimes I will slowly add canned food to their diet to increase their water intake (don't add it suddenly or you can cause diarrhea which would make everything worse). You can also add something with cranberry to whatever you are already doing, like this product: http://www.1800petmeds.com/NaturVet+Cranberry+Relief+Plus+Echinacea-prod11018.html
Question:Hi Dr. Dym, I wrote you about Toby, my Borzoi. His BUN after a day of fluids went fro 100 to 74 and creatinine from 12 to 8.4. My vet insist in euthanasia, but maybe because I complaint about how much I am paying every day he is at his clinic. Do you see some hope for him or should I consider putting him to sleep? what about alternative medicine ? or other medications or supplements? Thanks for your help
Answer:It is hard for us to say without seeing him - your veterinarian that is looking at him and has worked with him all along and has seen how well or not well he has responded is the one to trust. Consider taking him to a specialist in your area as well - or another veterinarian to get a second opinion. Like I said earlier, be sure to have them check his bloodwork for signs of Addison's disease as it can mimic kidney failure and it is treatable.
Question:Hi Dr. Dym, My 6 yr old Borzoi "Toby" out of a sudden stated with acute abdominal pain and was incontinent. We took him to the vet, and after a false diagnosis of pancreatitis, for which it stayed at the vet's hospital, they changed to pyelonephritis. Toby has been so far 3 days at the hospital, two with antibiotics and fluids. Its latest NUN and creatinine are 90 and 11 . The vet wants to put him to sleep and I don't want to give up. He is alert, eating, and seems to be painless. Only when I told the vet my bill was already quite steep, he thought about euthanasia. What you think? I will pick up my dog no matter what today and I will try to do myself something for him is possible, The only medicine he takes is monthly Trifexis .
Answer:Those numbers are quite high (90 and 11). Work closely with your veterinarian as they know his case much better than I do (like whether those numbers are before or after fluid therapy makes a big difference, etc. etc) Do have them glance at his bloodwork and check for Addison's disease - it is very rare but can look like kidney failure sometimes.
Question:I have an 11 year old cat that has a severe UTI. Scooting her butt around, constant linking, bleeding, and cries.
Answer:You can try things like our UT soft chews (http://www.1800petmeds.com/UT+Soft+Chews+For+Cats-prod11084.html) but if you are seeing blood you really need something much stronger. If it is just a urinary tract infection, your veterinarian may be able to just give her a long acting injectable antibiotic like Convenia and you will be done in one quick office visit. They should ideally perform a urinanalysis (+/- x-rays) as well to be sure it's not something else (crystals, stones, cancer, etc).
Question:I have a female cat that's fixed but she is spraying what can I do?
Answer:Spraying and urinating outside of the litter box are usually 2 different problems. Most female cats are urinating outside of the litter box and this can be one of the most frustrating behavioral problems to treat. The cause is often multi-factorial and complex, so working closely with your veterinarian and giving them a detailed history of your cat's environment (how many other animals are around her, when they were introduced, when she started started urinating outside the box, where she chooses to urinate, how big is your house, where is the litter box located, what kind of litter do you use, what kind of litter box do you have, etc etc) is where you start. You always want them to do a baseline urinanalysis (+/- blood work) as well to rule out underlying medical problems like a urinary tract infection, crystals, diabetes, etc.